发育性协调障碍医-校-家多场景联合干预的创设

doi:10.11852/zgetbjzz2024-0281

摘要/Abstract

摘要： 发育性协调障碍(DCD)是一种终身存在不良影响的运动障碍性疾病,根据运动学习和运动控制理论,改善运动需结合患儿个体、任务和所处环境。针对DCD儿童的干预不能只局限在医院,更合理的模式应是囊括医院-学校-家庭三种场景下的联合治疗。本文就此干预模式的重要性和具体内容进行阐述,目的是为DCD患儿的健康发展提供参考。

关键词: 发育性协调障碍, 多场景, 任务导向性训练, 联合干预

Abstract: Developmental coordination disorder (DCD) is a kind of movement disorder with lifelong adverse effects.According to motor learning and motor control theories, improving movement should be combined with individual, task and environment of children.Interventions for DCD children should not only be limited to the hospital, a more reasonable model should include the hospital, school and home three scenarios of combined treatment.This article expounds the importance and specific content of this intervention model, so as to provide reference for the healthy development of children with DCD.

Key words: developmental coordination disorder, multi-scenario, task-oriented training, combined intervention

中图分类号:

R748

贾飞勇. 发育性协调障碍医-校-家多场景联合干预的创设[J]. 中国儿童保健杂志, 2024, 32(5): 471-474.

JIA Feiyong. Establishment of joint intervention in hospital-school-home model for developmental coordination disorder[J]. Chinese Journal of Child Health Care, 2024, 32(5): 471-474.

参考文献

[1] First MB.Diagnostic and statistical manual of mental disorders, 5th edition, and clinical utility[J].J Nerv Ment Dis, 2013, 201(9):727-729.
[2] Blank R, Barnett AL, Cairney J, et al.International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder[J].Dev Med Child Neurol, 2019, 61(3):242-285.
[3] APA.Diagnostic and statistical manual of mental disorders (DSM-5)[M].Washington, DC: 2013.
[4] Blank R, Smits-engelsman B, Polatajko H, et al.European Academy for Childhood Disability (EACD):Recommendations on the definition, diagnosis and intervention of developmental coordination disorder (long version)[J].Dev Med Child Neurol, 2012, 54(1):54-93.
[5] Lingam R, Hunt L, Golding J, et al.Prevalence of developmental coordination disorder using the DSM-Ⅳ at 7 years of age:A UK population-based study[J].Pediatrics, 2009, 123(4):e693-e700.
[6] Kadesjo B, Gillberg C.Attention deficits and clumsiness in Swedish 7-year-old children[J].Dev Med Child Neurol, 1998, 40(12):796-804.
[7] Cacola P.Physical and mental health of children with developmental coordination disorder[J].Front Public Health, 2016, 4: 224.
[8] Salvi JD, Rauch SL, Baker JT.Behavior as physiology: How dynamical-systems theory could advance psychiatry[J].Am J Psychiatry, 2021, 178(9):791-792.
[9] Missiuna C, Mandich AD, Polatajko HJ, et al.Cognitive orientation to daily occupational performance (CO-OP):Part I-theoretical foundations[J].Phys Occup Ther Pediatr, 2001, 20(2-3):69-81.
[10] Schoemaker MM, Niemeijer AS, Reynders K, et al.Effectiveness of neuromotor task training for children with developmental coordination disorder:A pilot study[J].Neural Plast, 2003, 10(1-2):155-163.
[11] Levin MF, Demers M.Motor learning in neurological rehabilitation[J].Disabil Rehabil, 2021,43(24):3445-3453.
[12] Smits-engelsman BC, Blank R, van der Kaay AC, et al.Efficacy of interventions to improve motor performance in children with developmental coordination disorder: A combined systematic review and meta-analysis[J].Dev Med Child Neurol, 2013, 55(3):229-237.
[13] Dannemiller L, Mueller M, Leitner A, et al.Physical therapy management of children with developmental coordination disorder: An evidence-based clinical practice guideline from the academy of pediatric physical therapy of the American Physical Therapy Association[J].Pediatr Phys Ther, 2020, 32(4):278-313.
[14] Mai JN, Jin XK.Diagnosis and treatment of developmental motion coordination disorder[J].Chin J Pediatr, 2010, 48(2):115-117.
[15] Miller LT, Polatajko HJ, Missiuna C, et al.A pilot trial of a cognitive treatment for children with developmental coordination disorder[J].Hum Mov Sci, 2001, 20(1-2):183-210.
[16] Thornton A, Licari M, Reid S, et al.Cognitive Orientation to (Daily) Occupational Performance intervention leads to improvements in impairments, activity and participation in children with developmental coordination disorder[J].Disabil Rehabil, 2016, 38(10):979-986.
[17] Sugden D.Current approaches to intervention in children with developmental coordination disorder[J].Dev Med Child Neurol, 2007, 49(6):467-471.
[18] Niemeijer AS, Schoemaker MM, Smits-engelsman BC.Are teaching principles associated with improved motor performance in children with developmental coordination disorder? A pilot study[J].Phys Ther, 2006, 86(9):1221-1230.
[19] Ferguson GD, Jelsma D, Jelsma J, et al.The efficacy of two task-orientated interventions for children with developmental coordination disorder: Neuromotor task training and nintendo wii fit training[J].Res Dev Disabil, 2013, 34(9):2449-2461.
[20] Wilson PH, Thomas PR, Maruff P.Motor imagery training ameliorates motor clumsiness in children[J].J Child Neurol, 2002, 17(7):491-498.
[21] Wilson PH, Adams IL, Caeyenberghs K, et al.Motor imagery training enhances motor skill in children with DCD: A replication study[J].Res Dev Disabil, 2016, 57: 54-62.
[22] de Hora N, Larkin L, Connell A.Is group-based or individual-based intervention more effective for quality of life outcomes in children with developmental coordination disorder? A systematic review[J].Phys Occup Ther Pediatr, 2019, 39(4):353-372.
[23] Omer S, Jijon AM, Leonard HC.Research review: Internalising symptoms in developmental coordination disorder:A systematic review and meta-analysis[J].J Child Psychol Psychiatry, 2019, 60(6):606-621.
[24] Yu JJ, Burnett AF, Sit CH.Motor skill interventions in children with developmental coordination disorder: A systematic review and Meta-analysis[J].Arch Phys Med Rehabil, 2018, 99(10):2076-2099.
[25] Flapper BC, Houwen S, Schoemaker MM.Fine motor skills and effects of methylphenidate in children with attention-deficit-hyperactivity disorder and developmental coordination disorder[J].Dev Med Child Neurol, 2006, 48(3):165-169.
[26] Schoemaker MM, Flapper BC, Reinders-messelink HA, et al.Validity of the motor observation questionnaire for teachers as a screening instrument for children at risk for developmental coordination disorder[J].Hum Mov Sci, 2008, 27(2):190-199.
[27] Pirila S, van Der MEERE J, Seppanen RL, et al.Children with functional motor limitations: The effects on family strengths[J].Child Psychiatry Hum Dev, 2005, 35(3):281-295.
[28] Coussens M, van Driessen E, De Baets S, et al.Parents′ perspectives on participation of young children with attention deficit hyperactivity disorder, developmental coordination disorder, and/or autism spectrum disorder: A systematic scoping review[J].Child Care Health Dev, 2020, 46(2):232-243.